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Individual
MR. GABRIEL JOSUE SUSTACHE MERCADO
Active
Individual
MR. GABRIEL JOSUE SUSTACHE MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11015750
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11015750
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11015750
FL
Other
Enumeration date
10/29/2021
Last updated
06/08/2024
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